Healthcare Provider Details

I. General information

NPI: 1982379905
Provider Name (Legal Business Name): WHITNEY SCOTT IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2021
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 S UNION AVE STE B1
TACOMA WA
98405-1907
US

IV. Provider business mailing address

1905 S AINSWORTH AVE
TACOMA WA
98405-3108
US

V. Phone/Fax

Practice location:
  • Phone: 253-448-3635
  • Fax: 253-353-7990
Mailing address:
  • Phone: 253-999-8081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberL-57546
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License NumberL-157546
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License NumberL-57546
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: